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# DLA Official Forms

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| Form Number:  DLA1969                                                                                                                                        |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:  DLA Humanitarian Effort Award                                                                                                                   |
| Form Version:  Aug 2018                                                                                                                                      |
| Status:  Active                                                                                                                                              |
| Functional Area:  Human Resources                                                                                                                            |
| Opr:  J1                                                                                                                                                     |
| Safeguards:  none                                                                                                                                            |
| Electronic:  Yes                                                                                                                                             |
| Form Link:  Documents/FormsSite/forms/DL1969.pdf                                                                                                             |
| Type:  Primary                                                                                                                                               |
| Prescribed:  DLAI 1400.25, Vol 451                                                                                                                           |
| Description:  Form will be used as the certificate component for the DLA Humanitarian Effort Award.                                                          |
| Records Retention:  1400.53 Employee Incentive Award Records. Destroy when 2 years old or 2 years after award is approved or disapproved, whichever is later |
| Form Audience:                                                                                                                                               |

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